Path Wellness LLC
Dietitian, Registered in San Jose, CA. Organization (NPI-2).
NPI number1417536194
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1417536194
- Entity type
- Organization (NPI-2)
- Legal business name
- Path Wellness LLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133N00000X | Nutritionist | – | – | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 171400000X | Health & Wellness Coach | – | – |
Practice location
5067 Durango CtSan Jose, CA 95118-2317
Phone 408-598-6064
Mailing address
5067 Durango CtSan Jose, CA 95118-2317
Phone 408-598-6064
Authorized official
Sridevi Srinivasan
Registered Dietitian Nutritionist
4085986064
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